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Wayne L. Olsen, DDS
Oral and Maxillofacial Surgery (Dentist) in Traverse City, Michigan
NPI 1215984216

Wayne L. Olsen is a Oral and Maxillofacial Surgery (Dentist) based in Traverse City, MI and is specialized in Oral and Maxillofacial Surgery. Wayne L. Olsen practices in Traverse City, MI and has the professional credentials of DDS. The NPI Number for Wayne L. Olsen is 1215984216 and holds a License No. 2901018277 (Michigan).

The current practice location address for Wayne L. Olsen is 12776 S West Bay Shore Dr, Traverse City, MI and can be reached out via phone at 231-946-3512 and via fax at 231-946-1908.

Location: 12776 S West Bay Shore Dr, Traverse City, MI, 49686-3996
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215984216
Provider Name
Wayne L. Olsen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12776 S West Bay Shore Dr, Traverse City, MI, 49686-3996
Phone Number
231-946-3512
Fax Number
231-946-1908
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4373146 05 MI
4370725 05 MI
1003095605 01 MI NPI GROUP #
institution
Provider Business Practice Location Address Details
Address
12776 S West Bay Shore Dr
City
Traverse City
State
Michigan
Zip
49684-5451
Phone Number
231-946-3512
Fax Number
231-946-1908
person
Provider Business Mailing Address Details
Address
12776 S West Bay Shore Dr
City
Traverse City
State
Michigan
Zip
49684-5451
Phone Number
231-946-3512
Fax Number
231-946-1908
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901018277 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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